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霍奇金病放疗后的冠心病死亡率

Coronary heart disease mortality after irradiation for Hodgkin's disease.

作者信息

Boivin J F, Hutchison G B

出版信息

Cancer. 1982 Jun 15;49(12):2470-5. doi: 10.1002/1097-0142(19820615)49:12<2470::aid-cncr2820491210>3.0.co;2-y.

DOI:10.1002/1097-0142(19820615)49:12<2470::aid-cncr2820491210>3.0.co;2-y
PMID:7074563
Abstract

The authors conducted a study designed to evaluate the hypothesis that irradiation to the heart in the treatment for Hodgkin's disease (HD) is associated with increased coronary heart disease (CHD) mortality. This report describes 957 patients diagnosed with HD in 1942-75 and analyzes follow-up findings through December 1977. Twenty-five coronary heart disease deaths have been observed, and 4258.2 person-years of experience at risk have been accrued. The relative death rate (RDR), defined as the CHD mortality for heart-irradiated subjects divided by the mortality for nonirradiated subjects, was estimated. After adjustment for the effect of interval of observation, age, stage, and class, the RDR estimate is 1.5 but does not differ significantly from unit (95% confidence limits: 0.59, 3.7).

摘要

作者开展了一项研究,旨在评估以下假说:在霍奇金淋巴瘤(HD)治疗中对心脏进行照射与冠心病(CHD)死亡率增加相关。本报告描述了1942年至1975年间确诊为HD的957例患者,并分析了截至1977年12月的随访结果。已观察到25例冠心病死亡病例,累积了4258.2人年的风险暴露经验。计算了相对死亡率(RDR),其定义为心脏受照射受试者的冠心病死亡率除以未受照射受试者的死亡率。在对观察间隔、年龄、分期和分级的影响进行校正后,RDR估计值为1.5,但与1无显著差异(95%置信区间:0.59,3.7)。

相似文献

1
Coronary heart disease mortality after irradiation for Hodgkin's disease.霍奇金病放疗后的冠心病死亡率
Cancer. 1982 Jun 15;49(12):2470-5. doi: 10.1002/1097-0142(19820615)49:12<2470::aid-cncr2820491210>3.0.co;2-y.
2
Coronary artery disease mortality in patients treated for Hodgkin's disease.霍奇金淋巴瘤患者冠状动脉疾病死亡率
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Breast cancer after treatment of Hodgkin's disease.霍奇金淋巴瘤治疗后的乳腺癌
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Factors affecting late mortality from heart disease after treatment of Hodgkin's disease.霍奇金病治疗后影响心脏病晚期死亡率的因素。
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Acute myocardial infarction after heart irradiation in young patients with Hodgkin's disease.霍奇金病年轻患者心脏放疗后发生急性心肌梗死
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High risk of breast carcinoma after irradiation of young women with Hodgkin's disease.霍奇金病年轻女性患者接受放疗后患乳腺癌的风险很高。
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Incidence of second cancers in patients treated for Hodgkin's disease.霍奇金淋巴瘤患者继发癌症的发病率。
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Hematocrit and the risk of coronary heart disease mortality.血细胞比容与冠心病死亡风险
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引用本文的文献

1
Gender disparity in cardiovascular mortality following radiation therapy for Hodgkin's lymphoma: a systematic review.霍奇金淋巴瘤放疗后心血管死亡率的性别差异:一项系统综述
Cardiooncology. 2020 Aug 5;6:12. doi: 10.1186/s40959-020-00067-7. eCollection 2020.
2
Theoretic considerations regarding low-dose radiation therapy for prevention of restenosis after angioplasty.关于低剂量放射治疗预防血管成形术后再狭窄的理论思考。
Tex Heart Inst J. 1991;18(1):4-7.
3
Complete AV block following mediastinal radiation therapy: electrocardiographic and pathologic correlation and review of the world literature.
J Interv Card Electrophysiol. 1997 Nov;1(3):175-88. doi: 10.1023/a:1009756504168.
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Severe coronary artery disease after radiation therapy of the chest and mediastinum: clinical presentation and treatment.胸部和纵隔放疗后严重冠状动脉疾病:临床表现与治疗
Br Heart J. 1993 Jun;69(6):496-500. doi: 10.1136/hrt.69.6.496.
5
Radiation induced coronary heart disease.放射性诱发冠心病。
Br Heart J. 1993 Jun;69(6):481-2. doi: 10.1136/hrt.69.6.481.
6
Myocardial infarction in young patients with Hodgkin's disease--potential pathogenic role of radiotherapy, chemotherapy, and splenectomy.霍奇金病年轻患者的心肌梗死——放疗、化疗及脾切除术的潜在致病作用
Clin Investig. 1993 Jan;71(1):57-64. doi: 10.1007/BF00210966.